Organization
ITSY BITSY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARINA SEMENOVA SLP (MEMBER, CEO, PROGRAM DIRECTOR)
(718) 986-9830
Entity
Organization
Contact information
Practice address
16 FAIRLAWN LOOP, STATEN ISLAND, NY 10308-3509
(718) 986-9830
Mailing address
16 FAIRLAWN LOOP, STATEN ISLAND, NY 10308-3509
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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